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Senstrain is a new device aimed to help people with PLP through Sensory Discrimination Training (SDT). SDT is believed to encourage re-organisation of an amputee's internal (brain) map of their missing limb by mild electrical stimulation of the skin over the residual limb in specific patterns and locations. Patients are asked where they feel the stimulation: if they are correct they are told that and different patterns or locations of stimulation are applied, if not they are told what the correct location/pattern was.
There is evidence that SDT is effective - but - only when delivered by clinicians, in Health Care Settings. The Senstrain is a portable, fully-automated device that allows patients to self-deliver SDT, independently, in their own homes offering potential cost savings to the NHS and greater access to SDT for people with PLP.
The aim of this mixed-methods, single blind, randomised controlled trial is to investigate the safety and efficacy of the Senstrain for the management of phantom limb pain (PLP). Ninety-seven people with PLP will be recruited from the NHS and general public and randomised to receive either Senstrain or a placebo device. Following one instructional session from a HCPC registered Physiotherapist, participants will use Senstrain or placebo at home for 3 weeks. Participants will receive a second supportive visit on the second day, weekly phone calls and daily texts. Data will be collected on pain, function and body image at baseline, after treatment and at 3 months follow-up. Twelve participants will also be invited to a one-to-one interview to give their experience of the acceptability and usability of the device
Phantom Limb Pain
Not yet recruiting
Published on BioPortfolio: 2019-10-01T07:55:12-0400
Because bilateral lower extremity amputees do not have an intact limb for use with the mirror, we are now proposing to conduct a pilot trial of two treatments for PLP - direct observation ...
Almost everyone who has a traumatic limb amputated will experience a phantom limb - the vivid impression that the limb not only still is present, but also in many cases, painful. Prelimina...
Phantom limb pain occurs in the majority of people who lose a limb. It significantly affects quality of life and is hard to manage. Recent evidence suggests that mirror therapy and similar...
The purpose of this study is to identify the best treatment sequence and combination of acupuncture points for the treatment of phantom limb or residual limb pain in the traumatic/surgical...
The purpose of this proposed study is to conduct a randomized double-blind placebo controlled trial assessing the benefit of nabilone in pain management and improvement of quality of life ...
Background and aims Many individuals with lower limb loss report concerns about other musculoskeletal symptoms resulting from amputation. The objective of this study was to assess chronic musculoskele...
Amputees often experience a phantom limb consisting in the vivid impression that the limb is not only still present, but in many cases, painful. These patients may also become restless legs syndrome (...
Postamputation pain affects a large number of individuals living with major limb loss. Regenerative peripheral nerve interfaces are constructs composed of a transected peripheral nerve implanted into ...
Phantom limb pain (PLP) is a widespread and challenging neuropathic pain problem, occurring after both surgical and traumatic amputation of a limb. It may occur immediately after surgery or some month...
This study preliminarily characterizes and compares the impact of lower limb loss and development of chronic low back pain (cLBP) on psychosocial factors, as well as the relationship between these fac...
Perception of painful and nonpainful phantom sensations that occur following the complete or partial loss of a limb. The majority of individuals with an amputated extremity will experience the impression that the limb is still present, and in many cases, painful. (From Neurol Clin 1998 Nov;16(4):919-36; Brain 1998 Sep;121(Pt 9):1603-30)
Distinct regions of mesenchymal outgrowth at both flanks of an embryo during the SOMITE period. Limb buds, covered by ECTODERM, give rise to forelimb, hindlimb, and eventual functional limb structures. Limb bud cultures are used to study CELL DIFFERENTIATION; ORGANOGENESIS; and MORPHOGENESIS.
A type of pain that is perceived in an area away from the site where the pain arises, such as facial pain caused by lesion of the VAGUS NERVE, or throat problem generating referred pain in the ear.
An apraxia characterized by the affected limb having involuntary, autonomous, and purposeful behaviors that are perceived as being controlled by an external force. Often the affected limb interferes with the actions of the normal limb. Symptoms develop from lesions in the CORPUS CALLOSUM or medial frontal cortex, stroke, infarction, and neurodegenerative diseases (e.g., CREUTZFELDT-JAKOB SYNDROME, corticobasal degeneration).
Pain in the facial region including orofacial pain and craniofacial pain. Associated conditions include local inflammatory and neoplastic disorders and neuralgic syndromes involving the trigeminal, facial, and glossopharyngeal nerves. Conditions which feature recurrent or persistent facial pain as the primary manifestation of disease are referred to as FACIAL PAIN SYNDROMES.
Pain is defined by the International Association for the Study of Pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage”. Some illnesses can be excruci...
An anesthesiologist (US English) or anaesthetist (British English) is a physician trained in anesthesia and perioperative medicine. Anesthesiologists are physicians who provide medical care to patients in a wide variety of (usually acute) situations. ...
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